1|Page
TEST BANK Solution Manual for Comparative
Health Information Management 4th
Edition Peden
,2|Page
CHAPTER 1
Introduction
,3|Page
ANSWERS TO KNOWLEDGE-BASED QUESTIONS
1. What are some of the changes that have affected hospitals
during the twentieth and twenty-first centuries?
Answer:
The student may list any of the following changes:
• increases in hospital costs
• Medicare, Medicaid, and CHIP
• the emergence of health maintenance organizations
• shifts from independent to network health care providers
• technological advances in both health care and information
management
• development of a Nationwide Health Information Network
(NHIN)
• average age of the U.S. population is increasing, hence more
associated chronic illness
• shifts from inpatient to other care settings
, 4|Page
• prospective payment systems for most settings
• legislative changes
• increased focus on quality of care and pay-for-performance
or value-based purchasing initiatives
• increased focus on Medicare and Medicaid fraud, abuse and
waste
• ICD-10-CM and ICD-10-PCS adoption
• Patient Protection and Affordable Care Act (Affordable Care
Act)
Students may also mention that voluntary accreditation began
during the twentieth century. They may also note changing
patterns in inpatient admissions, such as increasing inpatient
admissions during the first part of the twentieth century
followed by a reduction in inpatient admissions as care shifted
from the inpatient to the outpatient setting.
TEST BANK Solution Manual for Comparative
Health Information Management 4th
Edition Peden
,2|Page
CHAPTER 1
Introduction
,3|Page
ANSWERS TO KNOWLEDGE-BASED QUESTIONS
1. What are some of the changes that have affected hospitals
during the twentieth and twenty-first centuries?
Answer:
The student may list any of the following changes:
• increases in hospital costs
• Medicare, Medicaid, and CHIP
• the emergence of health maintenance organizations
• shifts from independent to network health care providers
• technological advances in both health care and information
management
• development of a Nationwide Health Information Network
(NHIN)
• average age of the U.S. population is increasing, hence more
associated chronic illness
• shifts from inpatient to other care settings
, 4|Page
• prospective payment systems for most settings
• legislative changes
• increased focus on quality of care and pay-for-performance
or value-based purchasing initiatives
• increased focus on Medicare and Medicaid fraud, abuse and
waste
• ICD-10-CM and ICD-10-PCS adoption
• Patient Protection and Affordable Care Act (Affordable Care
Act)
Students may also mention that voluntary accreditation began
during the twentieth century. They may also note changing
patterns in inpatient admissions, such as increasing inpatient
admissions during the first part of the twentieth century
followed by a reduction in inpatient admissions as care shifted
from the inpatient to the outpatient setting.
